High Tech Components Data Models

Health care service providers are the organizations and related individuals that provide the services and care that make healthcare a reality.

Their impact upon the economy and individual lives are profound.

>	National health spending in the US is expected to reach $2.5 trillion in 2009, accounting for 17.6 percent of the gross domestic product (GDP). By 2018, national health care expenditures are expected to reach $4.4 trillion—more than double 2007 spending
>	National health expenditures are expected to increase faster than the growth in GDP: between 2008 and 2018, the average increase in national health expenditures is expected to be 6.2 percent per year, while the GDP is expected to increase only 4.1 percent per year.
>	In just three years, the Medicare and Medicaid programs will account for 50 percent of all national health spending.
>	Total health insurance costs for employers could reach nearly $850 billion by 2019. Individual and family spending will jump considerably from $326 billion in 2009 to $550 billion in 2019.
>	In any given year, close to 50 percent of all health care spending pays for the care received by only 5 percent of the population.
>	We devote nearly a third of our health care dollars to administrative costs

The ADRM Healthcare Services Provider models consists of a set of integrated Enterprise, Business Area, Data Mart and Data Warehouse logical data models developed for organizations in the healthcare service provider industry.

The focus of these models is to provide a blueprint of the complex data required to support a variety of applications, analytics and information services for health plan service providers.

> Service Provider

> Encounter
> Claim
> Patient
> Service
> Facility
> Insurer
> Health Plan

The ability to plan and apply IT technology is one of the key means to reduce and control costs related to healthcare services.

"ADRM Vertical Industry Data Models"
(212KB pdf)

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